Page 5 - Corporate Dining Concepts THC Benefits Guide V1
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Total Health Care Major Medical Plans (GAP Included )
THC HMO Silver $3,000 THC HMO $5,000 HDHP
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Service Benefit Service Benefit
$3,000 Single / $5,000 Single /
Deductible Deductible
$6,000 Family $11,0000 Family
Coinsurance 20% Coinsurance 20%
Out of Pocket $6,000 Single / Out of Pocket $6,900 Single /
Maximum $13,800 Family
Maximum $12,000 Family
Primary Care Visit $30 After Deductible
Primary Care Visit
$30
Copay Emergency Room $250 After Deductible
Emergency Room Urgent Care $60 After Deductible
$250
Copay Rx 20% After Deductible
Urgent Care Copay $60
If you take multiple or expensive medications,
Rx Copays $10/$50/$80/30%
you should consider the $3,000 Copay Plan
Please note: These are brief descriptions. Read plan certificates for limitation, exclusions,
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and plan specifics.
